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Author Haus, E.; Smolensky, M.
Title Biological clocks and shift work: circadian dysregulation and potential long-term effects Type Journal Article
Year 2006 Publication Cancer Causes & Control : CCC Abbreviated Journal Cancer Causes Control
Volume 17 Issue 4 Pages 489-500
Keywords Human Health; Adaptation, Physiological; Animals; Biological Clocks; Cardiovascular Abnormalities/etiology; Chronobiology Disorders/*complications/physiopathology; Chronobiology Phenomena; Humans; Neoplasms/etiology; Occupational Diseases/*etiology; Risk Factors; Suprachiasmatic Nucleus/physiopathology; *Work Schedule Tolerance
Abstract Long-term epidemiologic studies on large numbers of night and rotating shift workers have suggested an increase in the incidence of breast and colon cancer in these populations. These studies suffer from poor definition and quantification of the work schedules of the exposed subjects. Against this background, the pathophysiology of phase shift and phase adaptation is reviewed. A phase shift as experienced in night and rotating shift work involves desynchronization at the molecular level in the circadian oscillators in the central nervous tissue and in most peripheral tissues of the body. There is a change in the coordination between oscillators with transient loss of control by the master-oscillator (the Suprachiasmatic Nucleus, SCN) in the hypothalamus. The implications of the pathophysiology of phase shift are discussed for long-term health effects and for the design of ergonomic work schedules minimizing the adverse health effects upon the worker.
Address Department of Laboratory Medicine & Pathology, University of Minnesota, Health Partners Medical Group, Regions Hospital, St. Paul, Minnesota 55101, USA. Erhard.X.Haus@Healthpartners.com
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0957-5243 ISBN Medium
Area Expedition Conference
Notes PMID:16596302 Approved no
Call Number LoNNe @ kagoburian @ Serial 760
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Author Lowden, A.; Akerstedt, T.
Title Assessment of a new dynamic light regimen in a nuclear power control room without windows on quickly rotating shiftworkers--effects on health, wakefulness, and circadian alignment: a pilot study Type Journal Article
Year 2012 Publication Chronobiology International Abbreviated Journal Chronobiol Int
Volume 29 Issue 5 Pages 641-649
Keywords Adaptation, Physiological; Adult; *Circadian Rhythm; Darkness/adverse effects; *Environment, Controlled; Female; Humans; *Light; Male; Melatonin/metabolism; Middle Aged; Photic Stimulation; Pilot Projects; Saliva/chemistry; Sleep/*physiology; *Wakefulness; *Work Schedule Tolerance
Abstract The aim of the study was to test whether a new dynamic light regime would improve alertness, sleep, and adaptation to rotating shiftwork. The illumination level in a control room without windows at a nuclear power station was ~200 lux (straight-forward horizontal gaze) using a weak yellow light of 200 lux, 3000 K (Philips Master TLD 36 W 830). New lighting equipment was installed in one area of the control room above the positions of the reactor operators. The new lights were shielded from the control group by a distance of >6 m, and the other operators worked at desks turned away from the new light. The new lights were designed to give three different light exposures: (i) white/blue strong light of 745 lux, 6000 K; (ii) weak yellow light of 650 lux, 4000 K; and (iii) yellow moderate light of 700 lux, 4000 K. In a crossover design, the normal and new light exposures were given during a sequence of three night shifts, two free days, two morning shifts, and one afternoon shift (NNN + MMA), with 7 wks between sessions. The operators consisted of two groups; seven reactor operators from seven work teams were at one time exposed to the new equipment and 16 other operators were used as controls. The study was conducted during winter with reduced opportunities of daylight exposure during work, after night work, or before morning work. Operators wore actigraphs, filled in a sleep/wake diary, including ratings of sleepiness on the Karolinska Sleepiness Scale (KSS) every 2 h, and provided saliva samples for analysis of melatonin at work (every 2nd h during one night shift and first 3 h during one morning shift). Results from the wake/sleep diary showed the new light treatment increased alertness during the 2nd night shift (interaction group x light x time, p < .01). Time of waking was delayed in the light condition after the 3rd night shift (group x light, p < .05), but the amount of wake time during the sleep span increased after the 2nd night shift (p < .05), also showing a tendency to affect sleep efficiency (p < .10). Effects on circadian phase were difficult to establish given the small sample size and infrequent sampling of saliva melatonin. Nonetheless, it seems that appropriate dynamic light in rooms without windows during the dark Nordic season may promote alertness, sleep, and better adaptation to quickly rotating shiftwork.
Address Stress Research Institute, Stockholm University, Stockholm, Sweden. arne.lowden@stress.su.se
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0742-0528 ISBN Medium
Area Expedition Conference
Notes PMID:22621361 Approved no
Call Number IDA @ john @ Serial 148
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Author Sasseville, A.; Benhaberou-Brun, D.; Fontaine, C.; Charon, M.-C.; Hebert, M.
Title Wearing blue-blockers in the morning could improve sleep of workers on a permanent night schedule: a pilot study Type Journal Article
Year 2009 Publication Chronobiology International Abbreviated Journal Chronobiol Int
Volume 26 Issue 5 Pages 913-925
Keywords Adaptation, Physiological; Adult; Biological Clocks; Circadian Rhythm; Female; Humans; *Light; Male; Middle Aged; Photoperiod; Pilot Projects; Seasons; *Sleep; Wakefulness; *Work Schedule Tolerance; shift work; blue light; blue blocker; light therapy
Abstract Night shiftworkers often complain of disturbed sleep during the day. This could be partly caused by morning sunlight exposure during the commute home, which tends to maintain the circadian clock on a daytime rhythm. The circadian clock is most sensitive to the blue portion of the visible spectrum, so our aim was to determine if blocking short wavelengths of light below 540 nm could improve daytime sleep quality and nighttime vigilance of night shiftworkers. Eight permanent night shiftworkers (32-56 yrs of age) of Quebec City's Canada Post distribution center were evaluated during summertime, and twenty others (24-55 yrs of age) during fall and winter. Timing, efficacy, and fragmentation of daytime sleep were analyzed over four weeks by a wrist activity monitor, and subjective vigilance was additionally assessed at the end of the night shift in the fall-winter group. The first two weeks served as baseline and the remaining two as experimental weeks when workers had to wear blue-blockers glasses, either just before leaving the workplace at the end of their shift (summer group) or 2 h before the end of the night shift (fall-winter group). They all had to wear the glasses when outside during the day until 16:00 h. When wearing the glasses, workers slept, on average +/-SD, 32+/-29 and 34+/-60 more min/day, increased their sleep efficacy by 1.95+/-2.17% and 4.56+/-6.1%, and lowered their sleep fragmentation by 1.74+/-1.36% and 4.22+/-9.16% in the summer and fall-winter group, respectively. Subjective vigilance also generally improved on Fridays in the fall-winter group. Blue-blockers seem to improve daytime sleep of permanent night-shift workers.
Address Centre de Recherche Universite Laval Robert-Giffard/Department of Oto Rhino Laryngology and Ophtalmology, Universite Laval, Quebec, Canada
Corporate Author Thesis
Publisher Place of Publication Editor
Language English Summary Language Original Title
Series Editor Series Title Abbreviated Series Title
Series Volume Series Issue Edition
ISSN 0742-0528 ISBN Medium
Area Expedition Conference
Notes PMID:19637050 Approved no
Call Number IDA @ john @ Serial 295
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